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Idaho rates for HCPCS 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Facilitymedian $214 · 10th–90th $214$7080%50%90th$214Professionalmedian $295 · 10th–90th $102$6030%5%10th90th$295$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $128.82 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $323.59 / $602.56
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $501.19 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $154.88 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $346.74 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $93.33 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $269.15 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$588.84 / $707.95 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $537.03 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $158.49 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $380.19 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $165.96 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $398.11 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $257.04 / $977.24
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $181.97
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $194.98 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $89.13 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $380.19 / $776.25